Community Service Report

Tell us what you, your organization or department is doing out in the community! Fill out this form for each community project you or your group completes. The IPFW Student Life Office will keep records of organizations active in the community and use the information when determining year end awards.

Your Contact Information

*First Name

*Last Name

*Organization/Department Name

Department Phone

*Email Address

Agency/Organization Contact Information

*Agency/Organization

Contact Name

Position

Phone

Email Address

Volunteer Project Information

*Project Name

*Project Description

*Project Purpose

Project Duration

One-time  Ongoing

*Number of Volunteers

*Total Volunteer Hours

Project Start Date

Project End Date

Philanthropy

*Organization Benefitting

*How much money was raised?

How were donations collected?

Any Items Donated?

Evaluation

Describe the outcome of the project

Would you do this again?

Yes  No

Remarks, comments, suggestions

 

 

 

 

* denotes required field